| NPI | 1164745659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MT BBH-LCSW-LIC-45913) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CO 1378) |
| Enumeration Date | 2010-03-11 |
| Last Update Date | 2022-06-09 |